Organization Active NPI

Mid Hudson Interventional Pain Management

  • Rehabilitation Hospital Unit
  • Newburgh, NY
National Provider Identifier
1861715633
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
198896-1 Issued in NY
Legal business name
MID HUDSON INTERVENTIONAL PAIN MANAGEMENT
Practice address
21 N Plank Rd
Newburgh, NY 12550-2128
Phone
(845) 565-5943
Fax
(845) 234-4564
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cathy Jillson
Title
Office Manager
Phone
(845) 565-5943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 198896-1 NY Primary

Addresses

Primary practice location

21 N Plank Rd
Newburgh, NY 12550-2128

Mailing address

21 N Plank Rd
Newburgh, NY 12550-2128
Phone (845) 565-5943

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2005348Mid Hudson Interventional Pain Management PC21 North Plank Rd, Newburgh, NY 12550Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1861715633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502128",
            "telephone_number": "845-565-5943",
            "fax_number": "845-234-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502128",
            "telephone_number": "845-565-5943",
            "fax_number": "845-234-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID HUDSON INTERVENTIONAL PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "JILLSON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-565-5943",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "198896-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.